Abstract
Assessment of mobility, risk of embolism, and benign vs. malignant character of cardiac tumors requires sufficient information on morphologic features, the spatial relationship to surrounding structures, extension, surface characteristics as well as type and site of attachment. This information is also of utmost importance for selecting an adequate surgical approach if resection is indicated.
Both transthoracic and transesophageal echocardiography have shown a good sensitivity to detect intracardiac tumors (93.3 and 96.8 %, respectively); however, conventional (i.e., two-dimensional) echocardiography is a tomographic technique, and effective interpretation of images requires one to mentally integrate them into a three-dimensional (3D), stereoscopic reconstruction of the heart. 3D echocardiography eliminates the need for cognitive reconstruction of image planes and use of geometric assumptions about shape of structures for quantitation, and provides additional information about mass location, shape, attaching interface, and relationships with adjacent structures.
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Badano, L.P., Muraru, D., Iliceto, S. (2013). Echocardiography of Cardiac Masses: From Two-to Three-Dimensional Imaging. In: Basso, C., Valente, M., Thiene, G. (eds) Cardiac Tumor Pathology. Current Clinical Pathology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-62703-143-1_8
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